Effectiveness and experiences of integrating Mindfulness into Peer-assisted Learning (PAL) in clinical education for nursing students: A mixed method study.
Angie Ho Yan Lam, Lorraine Man Ki Ho, Stanley Kam Ki Lam, Claudia Kor Yee Chan, Maggie Mee Kie Chan, Maggie Wai Ming Pun, Kelvin Man Ping Wang
Nurse Education Today 2024 DOI: 10.1016/j.nedt.2023.106039 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental, repeated-measure, mixed methods study Qualitative Peer reviewed |
|---|---|
| Sample size | 126 |
| Population | Year 2 and Year 3 university nursing students |
| Intervention | online mindfulness peer-assisted learning (PAL) programme |
| Duration | 8-week intervention |
| Topics | Meditation |
| Keywords | Clinical education Clinical learning Nursing education Peer-assisted learning |
| Citations | 13 |
| Key findings | The mindfulness peer-assisted learning program significantly improved self-efficacy and decreased burnout, but did not significantly affect depression, anxiety, or stress. |
Abstract
Nursing students can find clinical learning to be challenging, unpredictable and stressful. To address this problem, this study integrated Mindfulness into Peer-assisted Learning (PAL) for nursing clinical education and investigated the feasibility and effectiveness on improving student participants' emotional reactions, and explored the perception and experience towards the programme. This quasi-experimental, repeated-measure, mixed methods study was conducted in a convenience sample of 126 Year 2 and Year 3 university nursing students. The participants engaged in an online mindfulness peer-assisted learning (PAL) programme that consisted of mindfulness practice, senior students sharing their experiences, and peer-assisted group learning. Emotional status (in terms of depression, anxiety and stress), burnout and self-efficacy were measured at baseline, 8 weeks after programme commencement and immediately after programme completion. Linear mixed-effects models and an intention-to-treat analysis were used to investigate changes in the dependent variables over time. Thirty-nine participants were also invited to engage in semi-structured interviews to explore their learning experiences in the programme. The programme significantly improved the participants' self-reported self-efficacy (β = 1.44, 95 % confidence interval (CI): 0.58 to 2.30, p = 0.001) and decreased their level of burnout (β = -2.31, 95 % CI: -3.24 to -1.38, p 0.05). Three themes emerged from the qualitative data, namely 1) nurturing self-care capacity through mindfulness; (2) empowering essential skills for clinical placement; (3) maintaining momentum alongside various challenges and enablers. The mindfulness PAL programme may facilitate nursing students' clinical preparedness. Further trials are recommended to investigate its applicability and use in clinical nursing education.
Comparable studies
Other experimental studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) | 2003 | Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study | |
| Loving-kindness meditation increases social connectedness. | 2008 | Controlled laboratory experiment | |
| Mindfulness and mind-wandering: Finding convergence through opposing constructs. | 2012 | Two studies: correlational study and experimental study | |
| Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence | 2009 | Experimental study | |
| Mindfulness meditation and substance use in an incarcerated population. Incarcerated population | 2006 | Quasi-experimental with treatment-as-usual control condition |
Citations in the library
Cited by 2
Cites 9
- Mechanisms of mindfulness Journal of Clinical Psychology December 29, 2005
- Efficacy and Moderation of Mobile App–Based Programs for Mindfulness-Based Training, Self-Compassion Training, and Cognitive Behavioral Psychoeducation on Mental Health: Randomized Controlled Noninferiority Trial JMIR Mental Health July 29, 2018
- School-based Meditation Practices for Adolescents: A Resource for Strengthening Self-Regulation, Emotional Coping, and Self-Esteem Children & Schools July 1, 2010
- App‐based mindfulness meditation reduces perceived stress and improves self‐regulation in working university students: A randomised controlled trial Applied Psychology: Health and Well-Being December 27, 2021
- Effectiveness of a Brief Online Mindfulness-Based Intervention for University Students. Mindfulness 2023
and 4 more in the library